2004, 08-10 Permit: BLD-04-07333 Change of UseISpak(7T1' tlF '���
ane
.000Va.11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
CHANGE OF USE PERMIT
14106 E BOONE AVE
SPOKANE WA 99216-1972
CHANGE OF USE FROM R-3 TO LC ADULT FAMILY HOME
(5)- LEVEL I CLIENTS / CHANGE GARAGE TO STORAGE
CURTIS, MERLON R & MARY ELLEN
Permit #:
Applied:
Issued:
Expires:
BLD -04-07333
08/10/2004
08/10/2004
02/06/2005
Lot: Blk: Parcel No: 45142.3401 Zoning:
CURTIS, MERLON R & MARY ELLEN Phone:
14106 E BOONE AVE
SPOKANE, WA 99216-1972
Contractor: Phone:
Address: Lic No:
General Information:
USE CLASSIFICATION
R-3 TO LC
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
47.00
4.50
51.50
51.50
0.00
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
\CNC\(• \ v.\C �� .W16 -11J CSC, VA
Print Name Signature Dat�j
Staff Initials
THIS IS NOT A RECEIPT